mohamad

Thank you

Hello I am searching for Centile curves or tables for twins and triplets to Determine if they have IUGR or not . But i can not find . Can any one help me .

Sirin DrMananParikh Thanks for your answers, but what about the degree of sensitivity that is commonly used ?

We have a new Babylog 8000 plus ventilator in our NICU for the first time and I have 2 questions about it: 1- What is the commonly used values regarding volume triggering ? 2- what is the acceptable percentage of leak ? ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ Mohamad Ismail, Neonatology resident, Mansoura, Egypt .

This is our neonatal guidelines in EGYPT and it is suitable for limited resources Nicu http://www.mediafire.com/view/vzzqu3nbn7v704m/Neonatal_Care_Protocol_for_Hospital_Physicians.pdf

"Neonatal examination" PowerPoint Presentation http://www.slideshare.net/mohamadismail58/neonatal-examination

Medix Doctor is a Free patients records and appointments management program . Functions: Patients folders: patient record, vaccinations, visits, appointments, relatives, measurements (laboratory and other) . Also you can attach one or more documents in the record and in the historical data. Supported languages: - English - Greek - Italian - Portuguese , Supported writing modes: - Left to Right - Right to Left . You can manage the patients records and your appointments from any computer without having to install the program : the entire medical archive and appointments can be saved only in the USB stick. You can download it from : http://download.cnet.com/Medix-Doctor/3000-2078_4-75000120.html ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ Mohamad Ismail Neonatology resident Mansoura Egypt .

Thanks : vijayashankara varady Stefan Johansson your words was useful for me .

Most of these neonates are full-term with no relevant family history and they have breast milk only . What is the acceptable range of indirect serum bilirubin at age of one month ?

In the follow up of neonates ( who was admitted to our unite in first week of life for photo-therapy duo to exaggerated physiological jaundice ) i some times notice that there is still a tinge of jaundice seen in the skin at the age of one month , is this normal or i need to order some investigations for these neonates ? Mohamad Ismail Neonatology resident Mansoura Egypt .

If the baby is so agitated on nCPAP but he still needs it , is it permissible to use any kind of sedation with him ? ــــــــــــــــــــــــــــــــــــــــــــ Mohamad Ismail , Neonatology resident , Mansoura , Egypt .

Thank you for your kind answers .

What about drugs like tranexamic acid and ethamsylate ?

2 days ago we had a case of full term female suffering from sever perinatal hypoxia and 8 hours after birth she had pulmonary haemorrhage , and she died . I want to know what is the appropriate management of pulmonary haemorrhage , and what amount of blood components and fluids shoud i give to a neonate loosing large amount of blood in a short time , thank you . ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ Mohamad Ismail Neonatology Resident Mansoura , Egypt .

Thanks for your answers , it was helpful to me .

In a case with with stage 2 { moderate } Hypoxic ischemic encephalopathy (HIE) and seizures in 1 st day of life controlled by Phenobarbital , Phenytion and Midazolam. How and when should these drugs be withdrawed? ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ Mohamad Ismail neonatology resident Mansoura Egypt

Treatment of Neonatal Sepsis with Intravenous Immune Globulin . Background Neonatal sepsis is a major cause of death and complications despite antibiotic treatment. Effective adjunctive treatments are needed. Newborn infants are relatively deficient in endogenous immunoglobulin. Meta-analyses of trials of intravenous immune globulin for suspected or proven neonatal sepsis suggest a reduced rate of death from any cause, but the trials have been small and have varied in quality. Methods At 113 hospitals in nine countries, we enrolled 3493 infants receiving antibiotics for suspected or proven serious infection and randomly assigned them to receive two infusions of either polyvalent IgG immune globulin (at a dose of 500 mg per kilogram of body weight) or matching placebo 48 hours apart. The primary outcome was death or major disability at the age of 2 years. Results There was no significant between-group difference in the rates of the primary outcome, which occurred in 686 of 1759 infants (39.0%) who received intravenous immune globulin and in 677 of 1734 infants (39.0%) who received placebo (relative risk, 1.00; 95% confidence interval, 0.92 to 1.08). Similarly, there were no significant differences in the rates of secondary outcomes, including the incidence of subsequent sepsis episodes. In follow-up of 2-year-old infants, there were no significant differences in the rates of major or nonmajor disability or of adverse events. Conclusions Therapy with intravenous immune globulin had no effect on the outcomes of suspected or proven neonatal sepsis. (Funded by the United Kingdom Medical Research Council and others; INIS Current Controlled Trials number, ISRCTN94984750.)

IS it Scientific to add Olive oil or sunflower oil to eternal milk feeding of preterm infant to provide him with omega 3 and to give him more calories ? mohamad ismail neonatology residant aga central hospital mansoura , egypt